Assigning size such as SGA (small for gestational age), LGA (large for gestational age), or AGA is a way to measure and monitor the growth of the infant throughout the pregnancy as well as at the time of birth.
If a term infant is heavier than 2500 grams (about 5 lb. and a half pounds) and lighter than about 4000 grams (about 8 and three-quarters pounds), he is referred to as AGA (appropriate for gestational age).
Term infants over 4000 grams are referred to as large for gestational age (LGA) and those under 2500 grams are small for gestational age (SGA).
The measurement is calculated based on the estimated gestational age (i.e., how many weeks pregnant the mother was) in comparison to what is considered normal height, weight, head size, and developmental level for a child of the same gestational age and gender.
There are graphs available that show the upper and lower normal limits for different gestational ages from the mid 20's up through 42 weeks of gestation.
Knowing the group into which an infant fits is important. An AGA baby tends to have the lowest risk for any problems. AGA babies have lower morbidity and mortality, while both LGA and SGA infants have increased morbidity and mortality.
|